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TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
MARY HOPKINS TRUST
Number and street (or P.O. box number if mail is not delivered to street address)
6325 S RAINBOW BLVD STE 300
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS
,
NV
89118
A Employer identification number
94-6052489
B
Telephone number (see instructions)
(888) 730-4933
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
16,010,486
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
337,097
331,591
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
452,725
b
Gross sales price for all assets on line 6a
4,840,925
7
Capital gain net income (from Part IV, line 2)
...
452,725
8
Net short-term capital gain
.........
0
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
789,822
784,316
13
Compensation of officers, directors, trustees, etc.
121,717
109,545
12,172
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
934
0
0
934
c
Other professional fees (attach schedule)
....
26,182
26,182
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
25,598
7,422
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
0
0
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
287
277
10
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
174,718
143,426
0
13,116
25
Contributions, gifts, grants paid
.......
600,000
600,000
26
Total expenses and disbursements.
Add lines 24 and 25
774,718
143,426
0
613,116
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
15,104
b
Net investment income
(if negative, enter -0-)
640,890
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
22,136
22,136
2
Savings and temporary cash investments
.........
617,716
668,332
668,332
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
11,685,225
11,600,816
15,320,018
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
12,302,941
12,291,284
16,010,486
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
12,302,941
12,291,284
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
12,302,941
12,291,284
30
Total liabilities and net assets/fund balances
(see instructions)
.
12,302,941
12,291,284
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
12,302,941
2
Enter amount from Part I, line 27a
.....................
2
15,104
3
Other increases not included in line 2 (itemize)
3
3,014
4
Add lines 1, 2, and 3
..........................
4
12,321,059
5
Decreases not included in line 2 (itemize)
5
29,775
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
12,291,284
Form
990-PF
(2019)
Form 990-PF (2019)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
28. MARRIOTT INTERNATIONAL INC CLASS A
2014-04-08
2019-01-03
b
65. ALBEMARLE CORP COM
2019-01-04
c
16. FLEETCOR TECHNOLOGIES INC
2019-01-04
d
6. FLEETCOR TECHNOLOGIES INC
2018-05-04
2019-01-04
e
13. MARRIOTT INTERNATIONAL INC CLASS A
2019-01-04
14. INTER PARFUMS INC
2014-04-30
2019-01-08
35. ALBEMARLE CORP COM
2019-01-09
13. ALBEMARLE CORP COM
2018-07-17
2019-01-09
18. FLEETCOR TECHNOLOGIES INC
2019-01-09
19. GOLDMAN SACHS GROUP INC
2015-02-04
2019-01-09
57. GOLDMAN SACHS GROUP INC
2019-01-09
36. ALBEMARLE CORP COM
2019-01-14
53. APPLE INC
2019-01-14
13. ALBEMARLE CORP COM
2019-01-16
21. ALBEMARLE CORP COM
2019-01-16
20. ALBEMARLE CORP COM
2019-01-16
27. ALBEMARLE CORP COM
2019-01-16
28. ALBEMARLE CORP COM
2019-01-16
15. AMERICAN TOWER REIT
2015-02-27
2019-01-16
23. EQUITY RESIDENTIAL PPTYS TR SH BEN
2009-06-17
2019-01-16
22. EXTRA SPACE STORAGE INC
2016-02-17
2019-01-16
31. HILTON WORLDWIDE HOLDINGS IN
2019-01-16
10. NETFLIX.COM INC
2018-10-29
2019-01-16
10. NETFLIX.COM INC
2018-10-29
2019-01-16
37. CELGENE CORP COM
2019-01-17
.148 CADENCE BANCORP
2011-04-19
2019-01-18
48. CELGENE CORP COM
2013-02-05
2019-01-18
10. CELGENE CORP COM
2018-07-25
2019-01-18
18. CELGENE CORP COM
2013-02-05
2019-01-22
11. NVIDIA CORP
2016-01-12
2019-01-22
24. NVIDIA CORP
2019-01-22
63. ALIBABA GROUP HOLDING LTD
2019-01-23
61. ALIBABA GROUP HOLDING LTD
2015-11-06
2019-01-23
36. CELGENE CORP COM
2013-02-05
2019-01-23
233. METLIFE INC
2009-04-28
2019-01-23
105. PPG INDUSTRIES INC
2019-01-23
59. TENCENT HOLDINGS LTD-UNS ADR
2018-03-22
2019-01-23
48. TENCENT HOLDINGS LTD-UNS ADR
2018-03-22
2019-01-23
51. TENCENT HOLDINGS LTD-UNS ADR
2018-03-22
2019-01-23
53. TENCENT HOLDINGS LTD-UNS ADR
2018-03-22
2019-01-23
33. MERCK & CO INC NEW
2018-12-21
2019-01-24
25. MERCK & CO INC NEW
2018-12-21
2019-01-25
100000. US TREASURY NOTE 2.250% 8/31/20
2017-03-17
2019-01-28
4.99984 MCDONALDS CORP
2019-01-31
22.00016 MCDONALDS CORP
2019-01-24
2019-01-31
10. AMERICAN TOWER REIT
2015-02-27
2019-02-05
53. EQUINIX INC
2019-02-05
28. MCDONALDS CORP
2019-02-07
22. MCDONALDS CORP
2018-12-27
2019-02-07
66. COLUMBIA SPORTSWEAR CO COM
2019-02-08
51. MCDONALDS CORP
2019-02-08
101. PHILIP MORRIS INTERNATIONAL IN
2018-05-09
2019-02-08
33. PHILIP MORRIS INTERNATIONAL IN
2019-02-08
11. UNITEDHEALTH GROUP INC
2019-02-08
145. ACTIVISION BLIZZARD INC
2019-02-12
81. MICROSOFT CORP
2019-02-12
25. BLACKBAUD INC
2018-10-18
2019-02-13
53. CADENCE BANCORP
2011-04-19
2019-02-13
105. DUKE ENERGY HOLDING CORP. COM
2019-02-13
13. FAIR ISSAC, INC
2009-04-29
2019-02-13
17. INTER PARFUMS INC
2019-02-13
21. KIRBY CORP
2018-09-19
2019-02-13
45. MANHATTAN ASSOCIATES, INC COM
2019-02-13
67. MCDONALDS CORP
2019-02-13
3. MESA LABORATORIES INC
2018-10-23
2019-02-13
234. METLIFE INC
2009-04-28
2019-02-13
10. MOOG INC CL A
2018-09-27
2019-02-13
7. MORNINGSTAR INC
2009-04-29
2019-02-13
11. NAVIGATORS GROUP INC
2017-06-12
2019-02-13
10. POWER INTERGRATIONS INC COM
2017-06-12
2019-02-13
73. ACTIVISION BLIZZARD INC
2019-02-19
73. ACTIVISION BLIZZARD INC
2019-02-20
75. ACTIVISION BLIZZARD INC
2017-03-20
2019-02-21
37. ACTIVISION BLIZZARD INC
2019-02-22
100. JPMORGAN CHASE & CO
2019-02-22
37. ACTIVISION BLIZZARD INC
2019-02-25
253. EXTENDED STAY AMERICA INC
2019-02-25
20. HILTON WORLDWIDE HOLDINGS IN
2017-03-06
2019-02-25
116. VORNADO REALTY TRUST
2019-02-25
21. HOME DEPOT INC
2017-03-03
2019-02-27
19. HOME DEPOT INC
2019-02-27
40. JPMORGAN CHASE & CO
2019-02-28
34. UNITEDHEALTH GROUP INC
2019-02-28
155. AMDOCS LIMITED COM
2017-01-17
2019-02-28
.1598 APARTMENT INVT & MGMT CO -A
2014-02-24
2019-03-01
9. COLUMBIA SPORTSWEAR CO COM
2009-08-27
2019-03-05
15. UNITEDHEALTH GROUP INC
2019-03-05
7. COSTCO WHOLESALE CORP
2019-01-04
2019-03-06
87. DANAHER CORP
2011-07-27
2019-03-06
15. GOLDMAN SACHS GROUP INC
2018-11-02
2019-03-06
4. GOLDMAN SACHS GROUP INC
2016-07-18
2019-03-06
25. MICROSOFT CORP
2016-08-08
2019-03-06
48. NIKE INC CL B
2019-03-06
13. MARRIOTT INTERNATIONAL INC CLASS A
2014-04-04
2019-03-11
11. MARRIOTT INTERNATIONAL INC CLASS A
2014-04-04
2019-03-11
22. JPMORGAN CHASE & CO
2016-12-08
2019-03-12
18. MARRIOTT INTERNATIONAL INC CLASS A
2019-03-12
104. PNC FINANCIAL SERVICES GROUP
2019-03-12
3647.05 VIRTUS SEIX FLT RT HI INC-I #5203
2014-02-28
2019-03-12
35. FACEBOOK INC
2012-10-05
2019-03-18
20. FACEBOOK INC
2019-03-05
2019-03-18
10. FACEBOOK INC
2019-03-05
2019-03-18
468. ALTRIA GROUP INC
2019-03-20
17. ESSEX PPTY TR COM
2014-02-24
2019-03-21
31. GOLDMAN SACHS GROUP INC
2019-03-21
22. SIMON PROPERTY GROUP INC
2009-06-17
2019-03-21
46. GOLDMAN SACHS GROUP INC
2019-03-25
12. GOLDMAN SACHS GROUP INC
2019-03-26
11. GOLDMAN SACHS GROUP INC
2016-07-11
2019-03-26
19. INTER PARFUMS INC
2014-03-18
2019-03-26
100000. AT&T INC 5.000% 3/01/21
2016-03-22
2019-03-27
25. GOLDMAN SACHS GROUP INC
2016-07-11
2019-03-28
133. PHILIP MORRIS INTERNATIONAL IN
2009-04-28
2019-03-28
235. GENERAL MILLS INC
2017-09-27
2019-04-01
6. AMAZON COM INC COM
2012-10-05
2019-04-02
5. AMAZON COM INC COM
2019-04-02
3213.368 WILLIAM BLAIR INTL GROWTH FD-I #1747
2018-08-30
2019-04-02
18073.959 WILLIAM BLAIR INTL GROWTH FD-I #1747
2019-04-02
12. FAIR ISSAC, INC
2009-04-29
2019-04-02
16. ADOBE SYS INC
2019-04-03
27. AIRBUS GROUP NV-UNSP ADR
2019-02-27
2019-04-03
12. ALEXION PHARMACEUTICALS INC
2019-04-03
4. ALPHABET INC/CA
2019-04-03
4. ALPHABET INC/CA
2019-04-03
5. AMAZON COM INC COM
2012-10-05
2019-04-03
5. AMERICAN TOWER REIT
2018-12-07
2019-04-03
20. APPLE INC
2013-05-07
2019-04-03
75. ASTRAZENECA PLC ADR
2019-04-03
34. B B & T CORP COM
2019-03-20
2019-04-03
22. BIOMARIN PHARMACEUTICAL INC
2018-10-15
2019-04-03
7. BOEING CO
2018-03-06
2019-04-03
6. BOEING CO
2019-04-03
23. BRISTOL MYERS SQUIBB CO
2018-12-07
2019-04-03
7. BROADCOM INC
2019-02-28
2019-04-03
21. CIGNA CORP
2019-01-23
2019-04-03
2. CHIPOTLE MEXICAN GRILL INC
2018-07-27
2019-04-03
92. CITIGROUP INC
2019-04-03
160. COMCAST CORP CLASS A
2018-02-28
2019-04-03
2. CONSTELLATION BRANDS INC
2019-02-07
2019-04-03
5. COSTCO WHOLESALE CORP
2017-11-03
2019-04-03
7. COSTCO WHOLESALE CORP
2019-01-04
2019-04-03
9. CROWN CASTLE INTL CORP
2018-11-28
2019-04-03
4. CROWN CASTLE INTL CORP
2018-02-08
2019-04-03
29. EVERETT SPINCO INC
2017-12-13
2019-04-03
20. DANAHER CORP
2011-07-27
2019-04-03
8. DANAHER CORP
2019-03-21
2019-04-03
43. DUKE ENERGY HOLDING CORP. COM
2019-04-03
12. EOG RESOURCES, INC
2014-10-07
2019-04-03
9. EDWARDS LIFESCIENCES CORP
2019-02-11
2019-04-03
25. FACEBOOK INC
2012-10-05
2019-04-03
36. FIDELITY NATL INFORMATION SVCS INC
2016-12-14
2019-04-03
44. FISERV INC
2018-11-14
2019-04-03
65. FIRSTENERGY CORP COM
2019-03-29
2019-04-03
8. FLEETCOR TECHNOLOGIES INC
2014-01-22
2019-04-03
33. GENERAL MILLS INC
2017-09-27
2019-04-03
20. GOLDMAN SACHS GROUP INC
2015-02-04
2019-04-03
9. HOME DEPOT INC
2016-06-06
2019-04-03
26. HONEYWELL INTERNATIONAL INC
2018-08-29
2019-04-03
21. ILLINOIS TOOL WORKS INC
2018-08-15
2019-04-03
10. ILLUMINA INC
2018-10-08
2019-04-03
4. INTUITIVE SURGICAL INC
2019-03-18
2019-04-03
54. JPMORGAN CHASE & CO
2008-06-27
2019-04-03
14. JPMORGAN CHASE & CO
2019-04-03
49. JOHNSON & JOHNSON
2019-04-03
39. KERINGIUNSPONSORED ADR
2019-04-03
27. KIMBERLY CLARK CORP COM
2018-02-14
2019-04-03
16. ESTEE LAUDER COMPANIES INC
2018-12-17
2019-04-03
16. LEAR CORP
2018-11-06
2019-04-03
6. LOCKHEED MARTIN CORP
2018-04-05
2019-04-03
13. LOWES COS INC
2019-04-01
2019-04-03
11. LULULEMON ATHLETICA INC
2019-03-29
2019-04-03
13. MARRIOTT INTERNATIONAL INC CLASS A
2014-03-28
2019-04-03
28. MASTERCARD INC
2012-10-05
2019-04-03
17. MCKESSON CORP
2016-08-17
2019-04-03
19. MERCK & CO INC NEW
2019-04-03
60. MICROSOFT CORP
2019-04-03
6. MOODYS CORP
2018-10-17
2019-04-03
22. NASDAQ, INC
2013-11-14
2019-04-03
48. NESTLE S.A. REGISTERED SHARES - ADR
2019-03-20
2019-04-03
6. NETFLIX.COM INC
2013-06-04
2019-04-03
9. NETFLIX.COM INC
2018-10-29
2019-04-03
35. NIKE INC CL B
2019-03-29
2019-04-03
10. NORTHROP GRUMMAN CORP
2015-05-06
2019-04-03
19. PNC FINANCIAL SERVICES GROUP
2016-06-08
2019-04-03
38. PPG INDUSTRIES INC
2019-04-03
15. PAYPAL HOLDINGS INC
2019-01-25
2019-04-03
100. PFIZER INC
2017-02-22
2019-04-03
29. PHILIP MORRIS INTERNATIONAL IN
2009-04-28
2019-04-03
13. RED HAT INC
2019-04-03
95. ROCHE HOLDINGS LTD - ADR
2019-02-27
2019-04-03
8. S&P GLOBAL INC
2018-09-19
2019-04-03
54. SAFRAN SA-UNSPON ADR
2018-09-07
2019-04-03
6. SAGE THERAPEUTICS INC
2019-02-13
2019-04-03
38. SALESFORCE COM INC
2018-10-11
2019-04-03
38. SCHLUMBERGER LTD
2015-10-28
2019-04-03
6. SERVICENOW INC
2019-02-26
2019-04-03
7. SPLUNK INC
2018-07-13
2019-04-03
10. SPLUNK INC
2019-04-03
25. SQUARE INC
2018-11-08
2019-04-03
52. STATE STREET CORP
2018-06-27
2019-04-03
28. TENCENT HOLDINGS LTD-UNS ADR
2018-06-04
2019-04-03
79. TENCENT HOLDINGS LTD-UNS ADR
2019-04-03
7. TESLA MOTORS INC
2018-11-20
2019-04-03
44. TEXAS INSTRUMENTS INC
2018-09-12
2019-04-03
9. THERMO FISHER SCIENTIFIC INC
2011-08-10
2019-04-03
28. TRAVELERS COS INC
2007-08-03
2019-04-03
85. US BANCORP
2015-02-04
2019-04-03
21. UNION PACIFIC CORP
2016-08-03
2019-04-03
14. UNION PACIFIC CORP
2019-02-22
2019-04-03
6. UNITEDHEALTH GROUP INC
2017-07-20
2019-04-03
13. VERTEX PHARMACEUTICALS INC COM
2019-04-03
36. VISA INC-CLASS A SHRS
2012-10-05
2019-04-03
14. WORKDAY INC
2019-01-23
2019-04-03
61. XCEL ENERGY INC
2018-11-28
2019-04-03
24. AON PLC
2019-03-12
2019-04-03
38. ACCENTURE PLC
2009-04-28
2019-04-03
58. EATON CORP PLC
2017-12-05
2019-04-03
35. INGERSOLL-RAND PLC
2018-08-08
2019-04-03
71. JOHNSON CTLS INTL PLC
2016-09-05
2019-04-03
38. MEDTRONIC PLC
2015-01-28
2019-04-03
28. CHUBB LTD
2017-05-10
2019-04-03
86. BRISTOL MYERS SQUIBB CO
2019-04-05
72. MERCK & CO INC NEW
2018-10-29
2019-04-05
.1853 APARTMENT INVT & MGMT CO -A
2019-03-25
2019-04-08
65. BRISTOL MYERS SQUIBB CO
2019-04-08
10. BRISTOL MYERS SQUIBB CO
2019-01-23
2019-04-08
54. BRISTOL MYERS SQUIBB CO
2012-10-05
2019-04-08
65. BRISTOL MYERS SQUIBB CO
2012-10-05
2019-04-09
63. BRISTOL MYERS SQUIBB CO
2012-10-05
2019-04-10
109. MERCK & CO INC NEW
2019-04-10
72. MOODYS CORP
2018-10-17
2019-04-10
38. AAON INC
2010-08-31
2019-04-11
17. TESLA MOTORS INC
2019-04-11
38. MERCK & CO INC NEW
2018-10-18
2019-04-12
36. MERCK & CO INC NEW
2019-04-15
37. MERCK & CO INC NEW
2019-04-16
12. COLUMBIA SPORTSWEAR CO COM
2009-08-27
2019-04-17
7. FAIR ISSAC, INC
2009-04-29
2019-04-17
26. RED HAT INC
2019-04-17
18. UNITEDHEALTH GROUP INC
2019-04-17
116. KERINGIUNSPONSORED ADR
2019-04-18
27. KERINGIUNSPONSORED ADR
2019-04-18
10. TESLA MOTORS INC
2018-06-04
2019-04-22
16. TESLA MOTORS INC
2017-11-08
2019-04-22
2. BROADCOM INC
2019-02-28
2019-04-23
18. BROADCOM INC
2019-04-23
49. RED HAT INC
2019-04-23
17. AMERICAN TOWER REIT
2015-02-27
2019-04-24
68. CORELOGIC INC
2017-03-30
2019-04-24
117. LIBERTY PPTY TR SH BEN INT
2019-04-24
25. RED HAT INC
2013-06-11
2019-04-24
31. SQUARE INC
2018-11-08
2019-04-24
13. BROADCOM INC
2019-04-25
100000. JPMORGAN CHASE & CO 4.950% 3/25/20
2015-05-06
2019-04-25
75. RED HAT INC
2019-04-25
64. SQUARE INC
2019-04-25
31. SQUARE INC
2019-04-26
28. MASTERCARD INC
2012-10-05
2019-04-29
94. ASTRAZENECA PLC ADR
2019-04-30
92. ASTRAZENECA PLC ADR
2019-04-30
13. COLUMBIA SPORTSWEAR CO COM
2009-08-27
2019-04-30
6. FAIR ISSAC, INC
2009-04-29
2019-04-30
23. MANHATTAN ASSOCIATES, INC COM
2016-11-22
2019-04-30
103. STATE STREET CORP
2017-11-15
2019-05-01
63. STATE STREET CORP
2018-06-27
2019-05-01
327. JOHNSON CTLS INTL PLC
2019-05-08
7. FAIR ISSAC, INC
2009-04-29
2019-05-09
15. POOL CORPORATION
2014-03-26
2019-05-09
79. ASTRAZENECA PLC ADR
2019-05-10
55. CROWN CASTLE INTL CORP
2019-05-10
32. ASTRAZENECA PLC ADR
2019-05-13
30. ASTRAZENECA PLC ADR
2019-05-13
27. LOCKHEED MARTIN CORP
2018-04-05
2019-05-15
30. UNITEDHEALTH GROUP INC
2019-05-15
135. LIBERTY PPTY TR SH BEN INT
2018-10-15
2019-05-16
33. VISA INC-CLASS A SHRS
2012-10-05
2019-05-16
139. TAIWAN SEMICONDUCTOR MANUFACTU - ADR
2019-05-17
40. CROWN CASTLE INTL CORP
2018-10-08
2019-05-20
6. KERINGIUNSPONSORED ADR
2017-12-13
2019-05-20
35. KERINGIUNSPONSORED ADR
2018-12-17
2019-05-20
100000. US TREASURY NOTE 2.000% 8/31/21
2017-08-29
2019-05-21
71. GOLDMAN SACHS GROUP INC
2019-05-22
71. LOWES COS INC
2019-05-22
20. ALIBABA GROUP HOLDING LTD
2019-05-23
19. BOEING CO
2019-05-23
7. BOEING CO
2018-07-25
2019-05-23
7.759 FIDELITY NEW MRKTS INC-Z #3323
2019-03-29
2019-05-23
174. NAVIGATORS GROUP INC
2019-05-23
93. TENCENT HOLDINGS LTD-UNS ADR
2018-03-22
2019-05-23
23. LOWES COS INC
2019-02-27
2019-05-24
58. TAIWAN SEMICONDUCTOR MANUFACTU - ADR
2019-05-24
32. LOWES COS INC
2019-02-13
2019-05-28
30. LOWES COS INC
2019-05-28
59. TAIWAN SEMICONDUCTOR MANUFACTU - ADR
2019-05-28
7. FAIR ISSAC, INC
2009-04-29
2019-05-29
100000. FED HOME LN BK 2.650% 12/23/20
2016-12-27
2019-05-29
242. GENERAL MILLS INC
2019-05-29
59. LOWES COS INC
2019-05-29
58. TAIWAN SEMICONDUCTOR MANUFACTU - ADR
2019-05-29
59. TAIWAN SEMICONDUCTOR MANUFACTU - ADR
2019-04-18
2019-05-29
31. TENCENT HOLDINGS LTD-UNS ADR
2018-03-22
2019-06-04
30. TENCENT HOLDINGS LTD-UNS ADR
2018-03-22
2019-06-04
3. ALPHABET INC/CA
2019-06-05
1. ALPHABET INC/CA
2019-02-12
2019-06-05
4. ALPHABET INC/CA
2019-06-05
268. GENERAL MILLS INC
2019-06-05
17. BIOMARIN PHARMACEUTICAL INC
2019-06-06
32. MARRIOTT INTERNATIONAL INC CLASS A
2014-03-28
2019-06-06
34. ALEXION PHARMACEUTICALS INC
2019-06-07
36. BIOMARIN PHARMACEUTICAL INC
2019-06-07
9. BIOMARIN PHARMACEUTICAL INC
2019-01-18
2019-06-07
22. ALEXION PHARMACEUTICALS INC
2019-06-10
9. ALEXION PHARMACEUTICALS INC
2017-08-23
2019-06-10
84. EXTRA SPACE STORAGE INC
2016-02-17
2019-06-10
12. FAIR ISSAC, INC
2019-06-10
139. HILTON GRAND VACATIONS INC
2019-06-10
199. HILTON GRAND VACATIONS INC
2019-06-10
55. PROLOGIS INC
2019-06-10
21. PROLOGIS INC
2019-02-05
2019-06-10
22. SIMON PROPERTY GROUP INC
2009-06-17
2019-06-10
239. TENCENT HOLDINGS LTD-UNS ADR
2019-06-10
21. APTARGROUP INC COM
2019-06-11
7. AMERICAN TOWER REIT
2018-12-07
2019-06-12
155. TENCENT HOLDINGS LTD-UNS ADR
2019-06-12
11. ALEXION PHARMACEUTICALS INC
2018-09-27
2019-06-13
3. ALEXION PHARMACEUTICALS INC
2017-07-27
2019-06-13
6. ALEXION PHARMACEUTICALS INC
2018-09-27
2019-06-13
25. NETFLIX.COM INC
2019-06-13
42. TENCENT HOLDINGS LTD-UNS ADR
2017-12-06
2019-06-13
43. TENCENT HOLDINGS LTD-UNS ADR
2019-06-13
25. UNITEDHEALTH GROUP INC
2019-06-13
167. EVERETT SPINCO INC
2019-06-19
9.99957 CONSTELLATION BRANDS INC
2019-06-24
17.00043 CONSTELLATION BRANDS INC
2019-06-24
170. EVERETT SPINCO INC
2017-04-12
2019-06-26
24. UNITEDHEALTH GROUP INC
2017-06-19
2019-07-03
68. CORPORATE OFFICE PROPERTIES COM
2017-11-02
2019-07-05
374. HUDSON PACIFIC PROPERTIES INC
2019-07-05
45. ALEXANDRIA REAL ESTATE EQUITIES
2017-08-10
2019-07-09
5. ALEXANDRIA REAL ESTATE EQUITIES
2019-02-25
2019-07-09
60. AMERICAN HOMES 4 RENT
2017-11-16
2019-07-09
66. AMERICAN HOMES 4 RENT
2019-02-05
2019-07-09
6. AMERICAN TOWER REIT
2015-02-27
2019-07-09
49. AMERICOLD REALTY TRUST
2019-06-10
2019-07-09
64. APARTMENT INVT & MGMT CO -A
2014-02-24
2019-07-09
31. APARTMENT INVT & MGMT CO -A
2019-07-09
24. AVALONBAY CMNTYS INC
2019-07-09
21. AVALONBAY CMNTYS INC
2019-07-09
32. BOSTON PROPERTIES INC COM
2019-07-09
27. CORPORATE OFFICE PROPERTIES COM
2017-11-02
2019-07-09
12. CROWN CASTLE INTL CORP
2015-12-08
2019-07-09
47. CUBESMART
2019-03-21
2019-07-09
24. CUBESMART
2012-09-12
2019-07-09
82. DUKE REALTY CORPORATION
2014-02-24
2019-07-09
49. EPR PROPERTIES
2018-04-19
2019-07-09
16. EQUINIX INC
2019-07-09
24. EQUITY LIFESTYLE PPTYS INC
2016-11-25
2019-07-09
21. EQUITY RESIDENTIAL PPTYS TR SH BEN
2009-06-17
2019-07-09
22. ESSEX PPTY TR COM
2014-02-24
2019-07-09
15. EXTENDED STAY AMERICA INC
2018-09-24
2019-07-09
43. EXTENDED STAY AMERICA INC
2017-09-21
2019-07-09
35. EXTRA SPACE STORAGE INC
2019-07-09
40. FIRST INDL RLTY TR INC COM
2012-05-31
2019-07-09
49. HCP INC
2019-04-24
2019-07-09
4. HCP INC
2017-08-10
2019-07-09
47. HEALTHCARE RLTY TR COM
2019-07-05
2019-07-09
150. HEALTHCARE TRUST OF AME-CL A
2019-07-09
34. HILTON WORLDWIDE HOLDINGS IN
2017-03-06
2019-07-09
106. INVITATION HOMES INC
2017-06-22
2019-07-09
170. INVITATION HOMES INC
2019-07-09
21. KILROY REALTY CORP COM
2019-02-25
2019-07-09
26. KILROY REALTY CORP COM
2019-07-09
80. PHYSICIANS REALTY TRUST
2016-04-14
2019-07-09
135. PROLOGIS INC
2019-07-09
12. PUBLIC STORAGE INC COM
2009-06-17
2019-07-09
12.2 REGENCY CENTERS CORP
2016-11-14
2019-07-09
65.8 REGENCY CENTERS CORP
2018-07-23
2019-07-09
78. SABRA HEALTH CARE REIT -
2019-05-16
2019-07-09
10. SAUL CTRS INC COM
2012-08-28
2019-07-09
37. SIMON PROPERTY GROUP INC
2009-06-17
2019-07-09
71. SPIRIT REALTY CAPITAL INC
2016-02-08
2019-07-09
92. STORE CAPITAL CORP
2016-03-22
2019-07-09
47. STORE CAPITAL CORP
2019-02-05
2019-07-09
6. SUN CMNTYS INC COM
2019-06-10
2019-07-09
27. SUN CMNTYS INC COM
2014-09-24
2019-07-09
48. SUNSTONE HOTEL INVS INC NEW
2019-07-09
127. SUNSTONE HOTEL INVS INC NEW
2018-12-07
2019-07-09
44. TANGER FACTORY OUTLET CTR
2017-11-16
2019-07-09
25. TAUBMAN CTRS INC COM
2018-11-27
2019-07-09
49. TERRENO REALTY CORP
2019-06-14
2019-07-09
37.00985 VICI PROPERTIES INC
2019-07-05
2019-07-09
66.99015 VICI PROPERTIES INC
2019-07-05
2019-07-09
74. WELLTOWER INC
2019-07-09
31. WELLTOWER INC
2014-02-24
2019-07-09
37. WEYERHAEUSER CO
2017-10-17
2019-07-09
1. INTERXION HOLDING NV
2016-03-22
2019-07-09
51. INTERXION HOLDING NV
2019-02-05
2019-07-09
13. APTARGROUP INC COM
2015-05-14
2019-07-11
10. POOL CORPORATION
2014-03-26
2019-07-11
42. ACCENTURE PLC
2009-04-28
2019-07-12
29. CORPORATE OFFICE PROPERTIES COM
2019-01-16
2019-07-16
103. CORPORATE OFFICE PROPERTIES COM
2019-07-16
52. PROLOGIS INC
2014-02-24
2019-07-16
120. SPIRIT REALTY CAPITAL INC
2016-02-08
2019-07-16
98. SPIRIT REALTY CAPITAL INC
2018-08-09
2019-07-16
15. CASEYS GEN STORES INC
2019-07-18
10. CASEYS GEN STORES INC
2018-06-22
2019-07-18
11. POOL CORPORATION
2019-07-19
42. XCEL ENERGY INC
2016-12-14
2019-07-19
147. XCEL ENERGY INC
2018-11-28
2019-07-19
13. CONSTELLATION BRANDS INC
2019-07-22
13. EDWARDS LIFESCIENCES CORP
2019-07-22
52. PAYPAL HOLDINGS INC
2019-07-22
30. UNION PACIFIC CORP
2019-07-22
14. APTARGROUP INC COM
2019-07-23
24. ALEXION PHARMACEUTICALS INC
2017-07-27
2019-07-25
22. ALEXION PHARMACEUTICALS INC
2017-07-27
2019-07-25
22. ALEXION PHARMACEUTICALS INC
2019-07-26
22. ALEXION PHARMACEUTICALS INC
2019-07-26
44. PAYPAL HOLDINGS INC
2019-01-29
2019-07-29
16. ADOBE SYS INC
2013-10-30
2019-07-30
21. SERVICENOW INC
2019-07-30
3. WORKDAY INC
2013-03-04
2019-07-30
11. WORKDAY INC
2019-01-23
2019-07-30
12. WORKDAY INC
2013-03-04
2019-07-30
42. ALEXION PHARMACEUTICALS INC
2019-07-31
27. APTARGROUP INC COM
2009-04-29
2019-07-31
195. XCEL ENERGY INC
2019-07-31
41. ALEXION PHARMACEUTICALS INC
2019-08-01
16. EXPONENT INC
2009-07-27
2019-08-01
19. POOL CORPORATION
2019-08-01
16. ADOBE SYS INC
2013-10-30
2019-08-02
12. ALEXION PHARMACEUTICALS INC
2017-12-29
2019-08-02
31. ALEXION PHARMACEUTICALS INC
2019-08-02
9. ALIBABA GROUP HOLDING LTD
2019-04-03
2019-08-02
38. ALIBABA GROUP HOLDING LTD
2015-11-06
2019-08-02
38. EXPONENT INC
2009-07-27
2019-08-02
23. PAYPAL HOLDINGS INC
2019-08-02
83. TENCENT HOLDINGS LTD-UNS ADR
2019-08-02
56. CORPORATE OFFICE PROPERTIES COM
2019-01-16
2019-08-06
12. CROWN CASTLE INTL CORP
2015-12-08
2019-08-06
108. EXTENDED STAY AMERICA INC
2017-12-18
2019-08-06
251. EXTENDED STAY AMERICA INC
2018-09-24
2019-08-06
43. HILTON WORLDWIDE HOLDINGS IN
2019-08-06
50. ACCENTURE PLC
2009-04-28
2019-08-07
22471.91 ROBECO BP LNG/SHRT RES-INS
2019-08-09
95. SQUARE INC
2019-08-12
31. APTARGROUP INC COM
2009-04-29
2019-08-14
76. CHUBB LTD
2019-08-14
67. JPMORGAN CHASE & CO
2019-08-19
14. JJ SNACK FOODS CORP
2018-10-11
2019-08-20
88. MANHATTAN ASSOCIATES, INC COM
2019-08-20
17. MORNINGSTAR INC
2009-04-29
2019-08-21
28. ALEXANDRIA REAL ESTATE EQUITIES
2019-08-26
116. SPIRIT REALTY CAPITAL INC
2018-08-09
2019-08-26
55. SPIRIT REALTY CAPITAL INC
2018-09-17
2019-08-26
126. SUNSTONE HOTEL INVS INC NEW
2014-02-24
2019-09-05
256. TANGER FACTORY OUTLET CTR
2019-09-05
5733.945 EATON VANCE GLOBAL MACRO - I
2014-02-26
2019-09-09
3248.863 ROBECO BP LNG/SHRT RES-INS
2014-02-26
2019-09-09
7259.953 VIRTUS SEIX FLT RT HI INC-I #5203
2019-09-10
21. CONSTELLATION BRANDS INC
2019-09-11
72. KIMBERLY CLARK CORP COM
2018-02-14
2019-09-11
83. MICROSOFT CORP
2019-09-11
50. ACCENTURE PLC
2009-04-28
2019-09-11
18. CONSTELLATION BRANDS INC
2019-09-12
8. BROADCOM INC
2019-09-17
13. COSTCO WHOLESALE CORP
2017-11-03
2019-09-17
36. FACEBOOK INC
2019-09-17
15. ILLUMINA INC
2019-09-17
31. MARRIOTT INTERNATIONAL INC CLASS A
2019-09-17
21. SALESFORCE COM INC
2019-09-17
11. APTARGROUP INC COM
2009-04-29
2019-09-19
38. UNION PACIFIC CORP
2019-09-19
11. MORNINGSTAR INC
2009-04-29
2019-09-20
10. AVALONBAY CMNTYS INC
2019-09-23
9. ESSEX PPTY TR COM
2014-02-24
2019-09-23
150000. FED HOME LN BK 2.050% 12/29/21
2016-12-19
2019-09-24
196. XCEL ENERGY INC
2019-09-25
20. SALESFORCE COM INC
2019-07-25
2019-09-26
75. SAP SE
2019-09-26
101. SAP SE
2019-09-26
93. BIOMARIN PHARMACEUTICAL INC
2019-09-27
56. PAYPAL HOLDINGS INC
2019-09-27
68. BIOMARIN PHARMACEUTICAL INC
2019-10-01
66. BIOMARIN PHARMACEUTICAL INC
2013-06-14
2019-10-01
48. TENCENT HOLDINGS LTD-UNS ADR
2019-10-01
61. TENCENT HOLDINGS LTD-UNS ADR
2019-10-02
266. XCEL ENERGY INC
2016-01-06
2019-10-02
30. EXPONENT INC
2009-07-27
2019-10-03
30. EXPONENT INC
2009-07-27
2019-10-04
33. APARTMENT INVT & MGMT CO -A
2014-02-24
2019-10-07
166. TENCENT HOLDINGS LTD-UNS ADR
2019-10-10
18. APTARGROUP INC COM
2009-04-29
2019-10-11
164. TENCENT HOLDINGS LTD-UNS ADR
2019-10-11
12. PAYPAL HOLDINGS INC
2018-12-11
2019-10-16
99. TENCENT HOLDINGS LTD-UNS ADR
2019-10-16
74. TENCENT HOLDINGS LTD-UNS ADR
2018-11-08
2019-10-16
18. WORKDAY INC
2019-10-16
6802.721 NEUBERGER BERMAN LONG SH-INS #1830
2017-06-02
2019-10-17
5295.873 TEMPLETON GLOBAL BOND FD-R6 #356
2009-04-30
2019-10-17
10000. FED HOME LN BK 2.100% 5/18/22
2017-06-21
2019-10-18
37. ESTEE LAUDER COMPANIES INC
2019-10-18
100000. MICROSOFT CORP 3.000% 10/01/20
2013-12-04
2019-10-18
27. BOEING CO
2012-10-05
2019-10-21
53. MANHATTAN ASSOCIATES, INC COM
2019-09-17
2019-10-23
27. MANHATTAN ASSOCIATES, INC COM
2017-07-24
2019-10-23
8. PAYPAL HOLDINGS INC
2017-08-08
2019-10-23
84. PAYPAL HOLDINGS INC
2019-10-23
72. TENCENT HOLDINGS LTD-UNS ADR
2018-11-08
2019-10-24
149. CADENCE BANCORP
2019-10-25
291. CADENCE BANCORP
2019-10-25
72. TENCENT HOLDINGS LTD-UNS ADR
2018-11-08
2019-10-25
142. TENCENT HOLDINGS LTD-UNS ADR
2018-10-11
2019-10-28
3. TENCENT HOLDINGS LTD-UNS ADR
2018-11-08
2019-10-28
22. CROWN CASTLE INTL CORP
2019-10-29
431. SCHLUMBERGER LTD
2019-10-30
24. CROWN CASTLE INTL CORP
2018-10-23
2019-10-31
49.00062 SQUARE INC
2019-10-31
4.99938 SQUARE INC
2019-01-23
2019-10-31
9. AVALONBAY CMNTYS INC
2018-02-23
2019-11-01
122. PHYSICIANS REALTY TRUST
2019-11-01
51. SQUARE INC
2019-11-01
47. CROWN CASTLE INTL CORP
2019-11-05
194. SCHLUMBERGER LTD
2019-11-06
13. AMERICAN TOWER REIT
2019-08-02
2019-11-07
11. AMERICAN TOWER REIT
2019-08-02
2019-11-07
2.00041 ILLUMINA INC
2018-07-12
2019-11-07
6.99959 ILLUMINA INC
2019-11-07
1. ILLUMINA INC
2019-04-08
2019-11-07
10. ILLUMINA INC
2019-11-07
194. SCHLUMBERGER LTD
2019-11-07
30. AMERICAN TOWER REIT
2019-11-08
21. PROSPERITY BANCSHARES INC
2019-02-13
2019-11-12
228.00087 JOHNSON CTLS INTL PLC
2016-09-28
2019-11-13
43.99913 JOHNSON CTLS INTL PLC
2016-09-28
2019-11-13
30. APTARGROUP INC COM
2009-04-29
2019-11-18
5. DUKE REALTY CORPORATION
2014-02-24
2019-11-18
40. DUKE REALTY CORPORATION
2019-07-16
2019-11-18
344. PHYSICIANS REALTY TRUST
2016-01-27
2019-11-18
14. SIMON PROPERTY GROUP INC
2009-06-17
2019-11-18
13. SUN CMNTYS INC COM
2014-09-24
2019-11-18
11337.868 EATON VANCE GLOBAL MACRO - I
2014-02-26
2019-11-19
9. MORNINGSTAR INC
2019-11-19
6775.068 NEUBERGER BERMAN LONG SH-INS #1830
2017-06-02
2019-11-19
6273.526 ROBECO BP LNG/SHRT RES-INS
2014-02-26
2019-11-19
100000. WESTPAC BANKING CORP 4.875% 11/19/19
2015-01-15
2019-11-19
32. ALEXANDRIA REAL ESTATE EQUITIES
2019-11-20
129. AMERICAN HOMES 4 RENT
2019-11-01
2019-11-20
5. AMERICAN TOWER REIT
2019-08-06
2019-11-20
44. AMERICOLD REALTY TRUST
2019-06-10
2019-11-20
67. APARTMENT INVT & MGMT CO -A
2019-11-20
32. AVALONBAY CMNTYS INC
2019-11-20
28. BOSTON PROPERTIES INC COM
2019-11-20
75. COUSINS PROPERTIES INC
2019-07-16
2019-11-20
8. CROWN CASTLE INTL CORP
2015-12-08
2019-11-20
58. CUBESMART
2019-11-20
50. DUKE REALTY CORPORATION
2014-02-24
2019-11-20
34. EPR PROPERTIES
2019-11-20
4. EQUINIX INC
2019-02-25
2019-11-20
13. EQUINIX INC
2015-10-22
2019-11-20
32. EQUITY LIFESTYLE PPTYS INC
2016-11-25
2019-11-20
16. EQUITY RESIDENTIAL PPTYS TR SH BEN
2009-06-17
2019-11-20
47. ESSENTIAL PROPERTIES REALTY
2019-09-23
2019-11-20
16. ESSEX PPTY TR COM
2019-11-20
28. EXTRA SPACE STORAGE INC
2016-12-21
2019-11-20
27. FIRST INDL RLTY TR INC COM
2012-05-31
2019-11-20
46. HEALTHCARE RLTY TR COM
2019-07-05
2019-11-20
145. HEALTHCARE TRUST OF AME-CL A
2019-11-20
54. HEALTHPEAK PROPERTIES INC
2019-11-01
2019-11-20
14. HEALTHPEAK PROPERTIES INC
2019-11-18
2019-11-20
21. HILTON WORLDWIDE HOLDINGS IN
2016-05-11
2019-11-20
96. HOST HOTELS & RESORTS, INC.
2019-08-06
2019-11-20
213. INVITATION HOMES INC
2017-06-22
2019-11-20
33. KILROY REALTY CORP COM
2017-08-10
2019-11-20
44. PROLOGIS INC
2019-11-18
2019-11-20
57. PROLOGIS INC
2014-02-24
2019-11-20
9. PUBLIC STORAGE INC COM
2009-06-17
2019-11-20
55. REGENCY CENTERS CORP
2018-07-23
2019-11-20
65. SABRA HEALTH CARE REIT -
2019-05-16
2019-11-20
9. SAUL CTRS INC COM
2019-11-20
22. SIMON PROPERTY GROUP INC
2009-06-17
2019-11-20
41. STORE CAPITAL CORP
2019-07-16
2019-11-20
70. STORE CAPITAL CORP
2019-11-20
24. SUN CMNTYS INC COM
2019-11-20
100. SUNSTONE HOTEL INVS INC NEW
2014-02-24
2019-11-20
17. TAUBMAN CTRS INC COM
2018-11-27
2019-11-20
40. TERRENO REALTY CORP
2019-11-20
19. VERTEX PHARMACEUTICALS INC COM
2019-11-20
89. VICI PROPERTIES INC
2019-11-20
76. WELLTOWER INC
2019-11-20
28. WEYERHAEUSER CO
2017-10-17
2019-11-20
41. INTERXION HOLDING NV
2016-03-22
2019-11-20
15.99937 STATE STREET CORP
2017-01-25
2019-11-21
156.00063 STATE STREET CORP
2019-11-21
25. AMERICAN TOWER REIT
2019-11-22
22. AMERICAN TOWER REIT
2019-11-27
25. AMERICAN TOWER REIT
2018-12-14
2019-11-27
50000. US TREASURY NOTE 1.500% 11/30/19
2019-05-21
2019-11-30
54. APARTMENT INVT & MGMT CO -A
2012-05-14
2019-12-05
17. APTARGROUP INC COM
2009-04-29
2019-12-05
14. ESTEE LAUDER COMPANIES INC
2019-12-05
21. LULULEMON ATHLETICA INC
2019-12-05
26. NVIDIA CORP
2019-12-05
57. SAGE THERAPEUTICS INC
2019-12-05
58. SAGE THERAPEUTICS INC
2019-12-05
35. STORE CAPITAL CORP
2017-02-17
2019-12-05
13. EDWARDS LIFESCIENCES CORP
2019-12-06
2355.593 FIDELITY NEW MRKTS INC-Z #3323
2019-12-06
344. ROCHE HOLDINGS LTD - ADR
2019-12-06
9. EDWARDS LIFESCIENCES CORP
2019-12-09
8. EDWARDS LIFESCIENCES CORP
2019-01-22
2019-12-09
18. VERTEX PHARMACEUTICALS INC COM
2019-12-09
3. VERTEX PHARMACEUTICALS INC COM
2019-11-25
2019-12-09
19. VERTEX PHARMACEUTICALS INC COM
2019-12-09
9. EDWARDS LIFESCIENCES CORP
2018-11-01
2019-12-12
11. EDWARDS LIFESCIENCES CORP
2019-01-23
2019-12-12
24. HOME DEPOT INC
2016-06-06
2019-12-12
26. HOME DEPOT INC
2019-12-12
31. FACEBOOK INC
2019-12-13
50000. US TREASURY NOTE 1.375% 12/15/19
2019-05-29
2019-12-15
2. EQUINIX INC
2015-10-22
2019-12-17
41. HILTON WORLDWIDE HOLDINGS IN
2019-12-17
207. SUNSTONE HOTEL INVS INC NEW
2014-02-24
2019-12-17
43. THERMO FISHER SCIENTIFIC INC
2011-08-10
2019-12-18
8. THERMO FISHER SCIENTIFIC INC
2019-11-25
2019-12-18
7. FLEETCOR TECHNOLOGIES INC
2019-12-23
10. TESLA MOTORS INC
2019-12-31
3. TESLA MOTORS INC
2018-06-04
2019-12-31
CAPITAL GAIN DIVIDENDS
P
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
2,910
1,567
1,343
b
4,911
6,250
-1,339
c
2,968
1,876
1,092
d
1,113
1,212
-99
e
1,383
727
656
864
504
360
2,664
3,143
-479
989
1,241
-252
3,389
2,021
1,368
3,328
3,420
-92
9,983
13,832
-3,849
2,778
3,085
-307
7,953
3,489
4,464
964
1,068
-104
1,565
1,716
-151
1,495
1,598
-103
1,999
2,144
-145
2,074
2,169
-95
2,451
1,485
966
1,570
507
1,063
2,017
1,868
149
2,242
1,785
457
3,501
2,872
629
3,531
2,872
659
3,217
3,211
6
3
2
1
4,148
2,384
1,764
864
867
-3
1,538
894
644
1,657
327
1,330
3,615
5,653
-2,038
9,615
5,428
4,187
9,290
5,173
4,117
3,114
1,788
1,326
10,278
5,697
4,581
10,638
11,909
-1,271
2,505
3,158
-653
2,039
2,569
-530
2,155
2,730
-575
2,239
2,837
-598
2,412
2,449
-37
1,829
1,855
-26
99,242
101,277
-2,035
895
912
-17
3,939
4,102
-163
1,716
990
726
20,920
15,721
5,199
4,916
4,181
735
3,862
4,037
-175
7,072
2,762
4,310
8,907
7,572
1,335
7,826
8,277
-451
2,557
2,202
355
2,871
2,192
679
5,939
7,177
-1,238
8,658
4,695
3,963
1,948
1,870
78
1,048
702
346
9,382
9,545
-163
3,119
217
2,902
1,192
606
586
1,582
1,723
-141
2,390
2,620
-230
11,661
9,851
1,810
693
546
147
10,312
5,721
4,591
926
870
56
888
279
609
768
607
161
707
667
40
3,235
3,602
-367
3,135
3,596
-461
3,186
3,683
-497
1,539
1,807
-268
10,518
8,881
1,637
1,552
1,791
-239
4,518
5,239
-721
1,673
1,146
527
7,955
6,770
1,185
3,884
3,093
791
3,506
2,496
1,010
4,174
3,421
753
8,420
6,626
1,794
8,553
9,271
-718
8
5
3
934
180
754
3,575
2,863
712
1,540
1,438
102
10,801
3,296
7,505
2,936
3,442
-506
783
653
130
2,803
1,447
1,356
4,090
3,907
183
1,569
727
842
1,327
615
712
2,288
1,861
427
2,169
1,003
1,166
13,380
14,292
-912
31,146
33,115
-1,969
5,679
751
4,928
3,245
3,378
-133
1,622
1,689
-67
26,044
32,776
-6,732
4,916
2,827
2,089
5,983
4,981
1,002
3,905
1,028
2,877
8,659
7,202
1,457
2,281
1,862
419
2,087
1,673
414
1,456
654
802
104,548
110,877
-6,329
4,748
3,801
947
11,596
4,909
6,687
12,055
12,230
-175
10,892
1,567
9,325
9,077
8,323
754
86,954
100,000
-13,046
489,081
450,000
39,081
3,286
200
3,086
4,370
869
3,501
897
874
23
1,668
2,084
-416
4,846
4,496
350
4,866
4,537
329
9,138
1,306
7,832
976
842
134
3,912
1,311
2,601
3,083
2,958
125
1,644
1,667
-23
2,025
2,197
-172
2,702
2,464
238
2,316
2,459
-143
1,071
1,235
-164
2,134
1,919
215
3,337
4,130
-793
1,410
954
456
5,978
5,680
298
6,424
5,905
519
358
348
10
1,216
831
385
1,702
1,438
264
1,157
999
158
514
449
65
1,886
2,409
-523
2,620
758
1,862
1,052
1,055
-3
3,824
3,820
4
1,130
1,147
-17
1,720
1,567
153
4,422
536
3,886
4,130
2,752
1,378
3,993
3,417
576
2,678
2,699
-21
2,006
851
1,155
1,661
1,717
-56
3,992
3,600
392
1,782
1,161
621
4,178
3,996
182
3,143
2,860
283
3,204
3,240
-36
2,313
2,237
76
5,670
1,884
3,786
1,471
1,161
310
6,712
6,974
-262
2,293
2,077
216
3,282
3,047
235
2,631
2,120
511
2,361
2,210
151
1,778
2,052
-274
1,454
1,433
21
1,836
1,815
21
1,708
723
985
6,701
1,344
5,357
1,946
3,300
-1,354
1,586
1,382
204
7,203
3,474
3,729
1,118
972
146
1,960
812
1,148
4,590
4,537
53
2,226
192
2,034
3,339
2,584
755
2,961
2,965
-4
2,650
1,539
1,111
2,407
1,700
707
4,346
4,265
81
1,579
1,409
170
4,268
3,364
904
2,480
1,070
1,410
2,380
635
1,745
3,255
3,309
-54
1,712
1,708
4
1,891
1,853
38
957
930
27
6,166
5,327
839
1,653
2,991
-1,338
1,486
1,412
74
905
738
167
1,293
319
974
1,936
1,899
37
3,534
4,983
-1,449
1,349
1,490
-141
3,805
4,138
-333
2,043
2,443
-400
4,967
4,531
436
2,487
457
2,030
3,808
1,404
2,404
4,201
3,715
486
3,552
1,934
1,618
2,382
2,383
-1
1,469
1,145
324
2,445
2,528
-83
5,713
1,271
4,442
2,706
2,428
278
3,382
3,147
235
4,142
3,996
146
6,710
1,094
5,616
4,796
4,585
211
3,878
3,403
475
2,562
3,244
-682
3,368
2,877
491
3,852
3,847
5
4,029
4,586
-557
5,859
5,224
635
9
9
3,034
3,311
-277
466
503
-37
2,517
1,820
697
2,986
2,191
795
2,906
2,124
782
8,823
7,866
957
13,326
11,659
1,667
1,711
247
1,464
4,574
5,702
-1,128
3,040
2,734
306
2,829
2,589
240
2,927
2,652
275
1,240
240
1,000
1,943
117
1,826
4,747
1,262
3,485
3,882
3,404
478
6,684
5,327
1,357
1,556
1,307
249
2,641
2,968
-327
4,225
4,836
-611
632
548
84
5,684
3,722
1,962
8,940
2,318
6,622
3,274
1,683
1,591
2,878
2,755
123
5,728
4,822
906
4,567
1,164
3,403
2,252
2,355
-103
4,004
2,673
1,331
101,998
111,326
-9,328
13,686
3,476
10,210
4,658
4,741
-83
2,231
2,197
34
6,917
1,344
5,573
3,558
3,680
-122
3,468
3,580
-112
1,300
260
1,040
1,670
100
1,570
1,544
1,218
326
6,798
9,545
-2,747
4,158
6,037
-1,879
12,868
14,939
-2,071
2,007
117
1,890
2,737
912
1,825
2,975
3,047
-72
6,885
6,088
797
1,190
1,222
-32
1,116
1,141
-25
8,995
9,236
-241
7,089
5,574
1,515
6,520
5,455
1,065
5,442
1,165
4,277
5,630
6,287
-657
4,960
4,403
557
339
273
66
1,978
1,596
382
99,480
101,582
-2,102
14,006
8,715
5,291
7,017
7,659
-642
3,127
3,626
-499
6,584
1,516
5,068
2,426
2,463
-37
116
117
-1
12,180
7,830
4,350
3,864
4,868
-1,004
2,178
2,444
-266
2,226
2,848
-622
2,994
3,232
-238
2,799
2,972
-173
2,237
2,889
-652
2,069
117
1,952
100,599
102,843
-2,244
11,638
12,574
-936
5,498
5,690
-192
2,165
2,683
-518
2,214
2,646
-432
1,299
1,623
-324
1,258
1,570
-312
3,103
3,157
-54
1,034
1,121
-87
4,147
4,257
-110
13,758
13,871
-113
1,369
1,662
-293
4,071
1,780
2,291
4,028
5,372
-1,344
2,894
2,544
350
723
878
-155
2,593
3,024
-431
1,061
1,376
-315
9,157
7,132
2,025
3,797
200
3,597
3,912
4,861
-949
5,600
5,861
-261
4,315
3,172
1,143
1,648
1,465
183
3,554
1,028
2,526
10,474
12,346
-1,872
2,563
1,573
990
1,475
1,179
296
6,622
7,711
-1,089
1,292
1,511
-219
350
408
-58
700
824
-124
8,502
797
7,705
1,784
1,977
-193
1,824
1,956
-132
6,112
4,593
1,519
8,904
12,333
-3,429
1,823
1,915
-92
3,099
3,261
-162
9,143
11,025
-1,882
5,887
4,369
1,518
1,868
2,207
-339
12,751
12,834
-83
6,631
5,385
1,246
737
682
55
1,525
1,305
220
1,678
1,506
172
1,263
594
669
1,681
1,566
115
3,311
1,962
1,349
1,604
1,548
56
5,070
3,969
1,101
4,436
3,981
455
4,228
4,344
-116
745
876
-131
1,622
1,003
619
1,638
1,503
135
837
305
532
2,699
1,364
1,335
3,754
2,626
1,128
8,329
7,137
1,192
3,057
1,656
1,401
1,664
463
1,201
6,714
3,658
3,056
253
297
-44
725
858
-133
3,864
2,695
1,169
1,505
471
1,034
1,622
1,453
169
132
116
16
1,541
1,524
17
4,200
4,488
-288
3,368
1,947
1,421
2,952
2,276
676
4,734
4,227
507
1,618
1,570
48
2,003
1,837
166
1,415
1,344
71
11,151
7,592
3,559
2,967
767
2,200
847
835
12
4,566
4,057
509
1,609
1,567
42
559
415
144
6,095
1,729
4,366
3,134
3,567
-433
3,156
2,379
777
1,612
1,506
106
811
773
38
3,652
1,226
2,426
659
689
-30
1,742
1,891
-149
719
1,090
-371
1,034
1,290
-256
2,441
2,329
112
818
826
-8
1,481
1,496
-15
6,362
5,723
639
2,665
1,760
905
969
1,295
-326
77
34
43
3,912
3,132
780
1,606
847
759
1,819
608
1,211
8,152
1,209
6,943
776
677
99
2,756
3,184
-428
4,246
2,127
2,119
5,287
6,029
-742
4,318
4,171
147
2,424
1,933
491
1,616
1,066
550
2,115
660
1,455
2,575
1,717
858
9,013
7,584
1,429
2,590
2,553
37
2,535
2,377
158
6,151
4,827
1,324
5,184
5,095
89
1,741
809
932
2,850
3,262
-412
2,615
2,990
-375
2,548
2,977
-429
2,550
2,974
-424
4,920
4,009
911
4,864
868
3,996
5,996
5,692
304
641
183
458
2,352
1,908
444
2,543
733
1,810
4,822
5,449
-627
3,297
831
2,466
11,719
7,862
3,857
4,783
5,043
-260
1,104
103
1,001
3,649
1,108
2,541
4,654
868
3,786
1,335
1,443
-108
3,448
3,603
-155
1,453
1,613
-160
6,133
3,223
2,910
2,561
245
2,316
2,442
2,048
394
3,717
3,565
152
1,515
1,307
208
1,623
1,003
620
1,600
1,968
-368
3,719
4,967
-1,248
3,952
2,206
1,746
9,348
1,439
7,909
340,000
346,503
-6,503
5,920
6,758
-838
3,713
954
2,759
11,692
9,125
2,567
7,271
5,474
1,797
2,679
2,051
628
7,436
4,360
3,076
2,658
677
1,981
4,102
3,137
965
5,341
4,938
403
2,532
2,262
270
1,700
1,706
-6
3,809
6,254
-2,445
50,000
51,224
-1,224
50,000
46,784
3,216
61,274
65,726
-4,452
4,357
4,009
348
9,370
8,127
1,243
11,221
4,757
6,464
9,502
1,439
8,063
3,664
3,426
238
2,288
2,454
-166
3,773
2,162
1,611
6,695
7,185
-490
4,503
4,864
-361
4,046
1,719
2,327
3,187
3,339
-152
1,296
339
957
6,358
6,197
161
1,762
438
1,324
2,098
1,587
511
2,914
1,496
1,418
149,738
149,063
675
12,785
7,553
5,232
3,059
3,176
-117
8,849
10,427
-1,578
11,845
13,613
-1,768
6,465
5,785
680
5,822
4,953
869
4,521
4,000
521
4,279
3,867
412
1,998
2,052
-54
2,482
2,586
-104
17,087
9,676
7,411
2,074
194
1,880
2,100
194
1,906
1,750
1,012
738
6,796
7,022
-226
2,114
554
1,560
6,828
6,927
-99
1,234
1,031
203
4,162
4,089
73
3,111
2,734
377
2,882
1,099
1,783
100,000
94,286
5,714
56,030
59,798
-3,768
10,000
9,980
20
6,837
4,896
1,941
101,170
102,884
-1,714
8,947
1,914
7,033
4,119
4,321
-202
2,098
1,196
902
769
476
293
8,074
6,894
1,180
2,919
2,660
259
2,341
1,958
383
4,573
3,541
1,032
2,896
2,660
236
5,840
5,030
810
123
111
12
3,079
2,387
692
14,540
32,344
-17,804
3,340
2,602
738
3,015
3,365
-350
308
347
-39
1,943
1,424
519
2,252
1,872
380
3,183
3,207
-24
6,152
4,948
1,204
7,023
13,285
-6,262
2,666
2,807
-141
2,251
2,376
-125
588
604
-16
2,056
1,758
298
294
320
-26
2,941
1,612
1,329
7,087
12,858
-5,771
6,233
6,383
-150
1,502
1,550
-48
9,542
10,393
-851
1,841
2,006
-165
3,312
923
2,389
176
83
93
1,405
1,326
79
6,409
5,228
1,181
2,152
654
1,498
2,097
586
1,511
100,000
101,286
-1,286
1,405
356
1,049
100,000
93,902
6,098
100,000
90,339
9,661
100,000
113,580
-13,580
5,084
3,359
1,725
3,417
3,404
13
1,082
1,080
2
1,663
1,404
259
3,665
1,944
1,721
6,939
4,482
2,457
3,845
3,706
139
3,038
2,772
266
1,081
666
415
1,822
729
1,093
1,760
832
928
2,517
1,652
865
2,268
1,713
555
7,372
3,830
3,542
2,283
1,104
1,179
1,393
353
1,040
1,254
1,102
152
5,125
2,630
2,495
2,976
2,090
886
1,142
318
824
1,495
1,482
13
4,327
4,299
28
1,883
1,971
-88
488
489
-1
2,099
981
1,118
1,630
1,616
14
6,418
4,574
1,844
2,728
2,239
489
4,001
3,963
38
5,183
2,331
2,852
1,908
575
1,333
3,531
3,391
140
1,432
1,278
154
465
373
92
3,245
1,028
2,217
1,640
1,398
242
2,800
1,796
1,004
3,912
1,071
2,841
1,382
1,354
28
555
877
-322
2,270
2,120
150
4,101
3,639
462
2,184
1,989
195
6,422
4,296
2,126
824
980
-156
3,499
1,396
2,103
1,157
1,242
-85
11,284
13,630
-2,346
5,257
4,834
423
4,706
3,701
1,005
5,340
4,172
1,168
50,000
49,760
240
2,831
1,534
1,297
1,904
523
1,381
2,753
2,152
601
4,784
3,878
906
5,433
5,189
244
3,763
9,130
-5,367
3,592
8,817
-5,225
1,398
844
554
3,152
2,361
791
34,863
35,570
-707
13,223
11,911
1,312
2,111
1,511
600
1,860
1,343
517
3,968
2,634
1,334
661
662
-1
4,175
2,275
1,900
2,061
1,336
725
2,519
1,845
674
5,107
3,096
2,011
5,532
5,266
266
6,040
6,026
14
50,000
49,732
268
1,125
589
536
4,454
1,592
2,862
2,925
2,803
122
13,623
2,184
11,439
2,535
2,481
54
2,022
2,060
-38
4,144
2,564
1,580
1,243
890
353
31,771
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
1,343
b
-1,339
c
1,092
d
-99
e
656
360
-479
-252
1,368
-92
-3,849
-307
4,464
-104
-151
-103
-145
-95
966
1,063
149
457
629
659
6
1
1,764
-3
644
1,330
-2,038
4,187
4,117
1,326
4,581
-1,271
-653
-530
-575
-598
-37
-26
-2,035
-17
-163
726
5,199
735
-175
4,310
1,335
-451
355
679
-1,238
3,963
78
346
-163
2,902
586
-141
-230
1,810
147
4,591
56
609
161
40
-367
-461
-497
-268
1,637
-239
-721
527
1,185
791
1,010
753
1,794
-718
3
754
712
102
7,505
-506
130
1,356
183
842
712
427
1,166
-912
-1,969
4,928
-133
-67
-6,732
2,089
1,002
2,877
1,457
419
414
802
-6,329
947
6,687
-175
9,325
754
-13,046
39,081
3,086
3,501
23
-416
350
329
7,832
134
2,601
125
-23
-172
238
-143
-164
215
-793
456
298
519
10
385
264
158
65
-523
1,862
-3
4
-17
153
3,886
1,378
576
-21
1,155
-56
392
621
182
283
-36
76
3,786
310
-262
216
235
511
151
-274
21
21
985
5,357
-1,354
204
3,729
146
1,148
53
2,034
755
-4
1,111
707
81
170
904
1,410
1,745
-54
4
38
27
839
-1,338
74
167
974
37
-1,449
-141
-333
-400
436
2,030
2,404
486
1,618
-1
324
-83
4,442
278
235
146
5,616
211
475
-682
491
5
-557
635
-277
-37
697
795
782
957
1,667
1,464
-1,128
306
240
275
1,000
1,826
3,485
478
1,357
249
-327
-611
84
1,962
6,622
1,591
123
906
3,403
-103
1,331
-9,328
10,210
-83
34
5,573
-122
-112
1,040
1,570
326
-2,747
-1,879
-2,071
1,890
1,825
-72
797
-32
-25
-241
1,515
1,065
4,277
-657
557
66
382
-2,102
5,291
-642
-499
5,068
-37
-1
4,350
-1,004
-266
-622
-238
-173
-652
1,952
-2,244
-936
-192
-518
-432
-324
-312
-54
-87
-110
-113
-293
2,291
-1,344
350
-155
-431
-315
2,025
3,597
-949
-261
1,143
183
2,526
-1,872
990
296
-1,089
-219
-58
-124
7,705
-193
-132
1,519
-3,429
-92
-162
-1,882
1,518
-339
-83
1,246
55
220
172
669
115
1,349
56
1,101
455
-116
-131
619
135
532
1,335
1,128
1,192
1,401
1,201
3,056
-44
-133
1,169
1,034
169
16
17
-288
1,421
676
507
48
166
71
3,559
2,200
12
509
42
144
4,366
-433
777
106
38
2,426
-30
-149
-371
-256
112
-8
-15
639
905
-326
43
780
759
1,211
6,943
99
-428
2,119
-742
147
491
550
1,455
858
1,429
37
158
1,324
89
932
-412
-375
-429
-424
911
3,996
304
458
444
1,810
-627
2,466
3,857
-260
1,001
2,541
3,786
-108
-155
-160
2,910
2,316
394
152
208
620
-368
-1,248
1,746
7,909
-6,503
-838
2,759
2,567
1,797
628
3,076
1,981
965
403
270
-6
-2,445
-1,224
3,216
-4,452
348
1,243
6,464
8,063
238
-166
1,611
-490
-361
2,327
-152
957
161
1,324
511
1,418
675
5,232
-117
-1,578
-1,768
680
869
521
412
-54
-104
7,411
1,880
1,906
738
-226
1,560
-99
203
73
377
1,783
5,714
-3,768
20
1,941
-1,714
7,033
-202
902
293
1,180
259
383
1,032
236
810
12
692
-17,804
738
-350
-39
519
380
-24
1,204
-6,262
-141
-125
-16
298
-26
1,329
-5,771
-150
-48
-851
-165
2,389
93
79
1,181
1,498
1,511
-1,286
1,049
6,098
9,661
-13,580
1,725
13
2
259
1,721
2,457
139
266
415
1,093
928
865
555
3,542
1,179
1,040
152
2,495
886
824
13
28
-88
-1
1,118
14
1,844
489
38
2,852
1,333
140
154
92
2,217
242
1,004
2,841
28
-322
150
462
195
2,126
-156
2,103
-85
-2,346
423
1,005
1,168
240
1,297
1,381
601
906
244
-5,367
-5,225
554
791
-707
1,312
600
517
1,334
-1
1,900
725
674
2,011
266
14
268
536
2,862
122
11,439
54
-38
1,580
353
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
452,725
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018
2017
2016
2015
2014
2
Total
of line 1, column (d)
.....................
2
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years
......
3
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
5
Multiply line 4 by line 3
......................
5
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
7
Add lines 5 and 6
........................
7
8
Enter qualifying distributions from Part XII, line 4
,.............
8
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
12,818
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
12,818
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
12,818
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
15,488
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
15,488
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
2,670
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
2,670
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
CA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
N/A
14
The books are in care of
WELLS FARGO BANK NA
Telephone no.
(888) 730-4933
Located at
6325 S RAINBOW BLVD STE 300
LAS VEGAS
NV
ZIP+4
89118
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
WELLS FARGO BANK N A
TRUSTEE
1
121,717
100 N MAIN ST MAC D4001-117
WINSTON SALEM
,
NC
27101
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
14,704,579
b
Average of monthly cash balances
.......................
1b
464,932
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
15,169,511
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
15,169,511
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
227,543
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
14,941,968
6
Minimum investment return.
Enter 5% of line 5
..................
6
747,098
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
747,098
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
12,818
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
12,818
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
734,280
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
734,280
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
734,280
Part XII
Qualifying Distributions
(see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
..........
1a
613,116
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
613,116
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
613,116
Note:
The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
734,280
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
589,752
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
0
d
From 2017
......
0
e
From 2018
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
613,116
a
Applied to 2018, but not more than line 2a
589,752
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
23,364
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
710,916
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
LUCILE PACKARD CHILDRENS HOSPITAL
725 WELCH ROAD
PALO ALTO
,
CA
94304
NONE
PC
GENERAL PURPOSE
600,000
Total
.................................
3a
600,000
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
14
337,097
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
452,725
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
789,822
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
789,822
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2019)
Form 990-PF (2019)
Page
13
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527?
...........
Yes
No
b
If "Yes," complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description